Active NPI
Merakey Philadelphia
- Case Management Agency
- Philadelphia, PA
National Provider Identifier
1700909595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MERAKEY PHILADELPHIA
- Practice address
- 27 E Mount Airy Ave
Philadelphia, PA 19119-1713 - Phone
- (215) 836-3131
- Fax
- (215) 273-5975
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norman E Tilson Jr.
- Title
- Corp Sr. Director of Business Ops
- Phone
- (215) 836-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Mailing address
620 Germantown Pike
Lafayette Hill, PA 19444-1810
Phone (215) 836-3131
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000017350083 | Medicaid | PA | |
| 1000017350169 | Medicaid | PA | |
| 1000017350082 | Medicaid | PA | |
| 1000017350151 | Medicaid | PA | |
| 1000017350170 | Medicaid | PA | |
| 1000017350084 | Medicaid | PA |
Other names 1
- NHS Philadelphia
National Provider Directory
National Provider Directory- Tax ID family
- Merakey Philadelphia
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1700909595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441810",
"telephone_number": "215-836-3131",
"fax_number": "215-273-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 E MOUNT AIRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191713",
"telephone_number": "215-836-3131",
"fax_number": "215-273-5975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERAKEY PHILADELPHIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "TILSON",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CORP SR. DIRECTOR OF BUSINESS OPS",
"authorized_official_telephone_number": "215-836-3131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350083",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350169",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350082",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350151",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350170",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017350084",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NHS Philadelphia",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "NHS Philadelphia",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.